The psychological and social aspects of a physical rehabilitation programme for fire service personnel

2014 ◽  
Vol 21 (5) ◽  
pp. 232-239 ◽  
Author(s):  
Linda Dawson ◽  
Vincent Deary ◽  
Fielden Amy
Keyword(s):  
Fire Service ◽  
Physical Rehabilitation ◽  
Rehabilitation Programme ◽  
Social Aspects ◽  
Service Personnel

scholarly journals Amputation history and rehabilitation of black men living in the greater Durban area who have had traumatic amputations of the lower limb

Curationis ◽  
1995 ◽  
Vol 18 (1) ◽  
Author(s):  
B. A. Kubheka ◽  
L. R. Uys
Keyword(s):  
Vocational Rehabilitation ◽  
Black Men ◽  
Social Isolation ◽  
Lower Limb ◽  
Rural Areas ◽  
Physical Rehabilitation ◽  
Rehabilitation Programme ◽  
Lower Limbs ◽  
Lack Of Information ◽  
Disability Grant

A survey was undertaken amongst twenty five black men living in the greater Durban area who had had amputations of the lower limbs. The type of amputation care and the rehabilitation programme they underwent post-operatively is described. The sample included men from 24 to 50 years of age, of whom the majority were from rural areas. The amputation care intra and post-operatively was marked by the lack of emotional preparation pre-operatively, and lack of rehabilitation information and teaching afterwards. Most respondents had to find information for themselves. This lack of information and teaching seemed to impede physical rehabilitation, with stump sores and limited use of prostheses being the main problems. Vocational rehabilitation was almost totally absent. In contrast to the twenty two respondents who worked before their amputations, only four worked afterwards. The majority had to support their families alone; sixteen of them were totally reliant on a Disability Grant. These problems lead to social isolation, depression, loneliness and other psycho-social problems.

Egg Binding and Hind Limb Paralysis in An African Penguin – a Case Report

2009 ◽  
Vol 27 (1) ◽  
pp. 36-38 ◽  
Author(s):  
Monique Anamarie Crouch
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Sciatic Nerve ◽  
Hind Limb ◽  
Kidney Tissue ◽  
Physical Rehabilitation ◽  
Rehabilitation Programme ◽  
Rehabilitation Therapy ◽  
African Penguin ◽  
Hind Limb Paralysis

This case report assesses the role acupuncture played in the rehabilitation therapy of an African penguin with bilateral hind limb paresis and paralysis following egg binding and a caesarean section. Egg binding is the failure of the oviduct to pass the egg down into the cloaca. In avian species the sciatic nerve runs through the middle of the kidney. Swelling of the kidney tissue due to the pressure exerted by the retained egg will cause pressure on the sciatic nerve which may lead to hind limb paresis/paralysis. Acupuncture was used to relieve any muscle, joint or nerve pain and to attempt to stimulate recovery of the sciatic nerve. Acupuncture was incorporated into a fairly intensive physical rehabilitation programme to help the penguin to walk again so that it could be re-introduced back into the sanctuary's captive colony.

scholarly journals Effectiveness of a structured physical rehabilitation programme for a Chinese population with depressive disorders

2013 ◽  
Vol 31 (2) ◽  
pp. 101
Author(s):  
P.Y.K. Lo ◽  
P.M.Y. Lau ◽  
R.M.W. Chau ◽  
R.M.K. Ng ◽  
A.W.K. Tsang ◽  
...  
Keyword(s):  
Chinese Population ◽  
Depressive Disorders ◽  
Physical Rehabilitation ◽  
Rehabilitation Programme

scholarly journals Using Compassion Focused Therapy as an adjunct to Trauma-Focused CBT for Fire Service personnel suffering with trauma-related symptoms

2016 ◽  
Vol 9 ◽  
Author(s):  
Elaine Beaumont ◽  
Mark Durkin ◽  
Sue McAndrew ◽  
Colin R. Martin
Keyword(s):  
Fire Service ◽  
Therapeutic Interventions ◽  
Anxiety And Depression ◽  
Convenience Sample ◽  
Service Personnel ◽  
Repeated Measures Design ◽  
Self Compassion ◽  
Compassion Focused Therapy ◽  
Bear Witness ◽  
Post Therapy

AbstractIndividuals working for the emergency services often bear witness to distressing events. This outcome study examines therapeutic interventions for Fire Service personnel (FSP) experiencing symptoms of trauma, depression, anxiety and low levels of self-compassion. This study aims to investigate the effectiveness of using Compassion-Focused Therapy (CFT) as an adjunct to Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) in reducing symptoms of trauma, anxiety and depression and increasing self-compassion. A convenience sample (n= 17) of participants, referred for therapy following a traumatic incident, were allocated to receive 12 sessions of either TF-CBT or TF-CBT coupled with CFT. The study employed a repeated-measures design. Data were gathered pre- and post-therapy, using three questionnaires: (1) Hospital Anxiety and Depression Scale; (2) Impact of Events Scale-R; (3) Self-Compassion Scale – Short Form. TF-CBT combined with CFT was more effective than TF-CBT alone on measures of self-compassion. Significant reductions in symptoms of depression, anxiety, hyperarousal, intrusion and avoidance and a significant increase in self-compassion occurred in both groups post-therapy. The study provides some preliminary evidence to suggest that FSP may benefit from therapeutic interventions aimed at cultivating self-compassion. Further research is warranted using a larger sample size and adequately powered randomized controlled trial, to detect statistically significant differences and to negate the risk of confound due to low numbers resulting in significant differences between groups at baseline. Using CFT as an adjunct to TF-CBT may help FSP, who bear witness to the distress of others, cultivate compassion for their own suffering.

scholarly journals Effectiveness of an individual physical rehabilitation programme in a group of patients with Hansen’s disease

2016 ◽  
Vol 87 (3) ◽  
pp. 355-367
Author(s):  
Héctor Serrano-Coll ◽  
José David Vélez ◽  
Diana Trochez ◽  
Juan Camilo Beltrán ◽  
Daniela Suanca ◽  
...  
Keyword(s):  
Physical Rehabilitation ◽  
Rehabilitation Programme ◽  
Hansen's Disease ◽  
Hansen’S Disease

Case manager–assisted rehabilitation for lumbar spinal fusion patients: an economic evaluation alongside a randomized controlled trial with two-year follow-up

2020 ◽  
Vol 34 (4) ◽  
pp. 460-470
Author(s):  
Lisa Gregersen Oestergaard ◽  
Finn Bjarke Christensen ◽  
Claus Vinther Nielsen ◽  
Cody Eric Bünger ◽  
Randi Holm ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Controlled Trial ◽  
Case Manager ◽  
Cost Effective ◽  
Physical Rehabilitation ◽  
Rehabilitation Programme ◽  
Lumbar Spinal Fusion ◽  
Life Years ◽  
Estimate Quality ◽  
Lumbar Spinal

Objective: To examine the cost-effectiveness of case manager–assisted rehabilitation as an add-on to usual physical rehabilitation after lumbar spinal fusion, given the lack of any clinical benefits found on analysing the clinical data. Design: Economic evaluation alongside a randomized controlled trial with two-year follow-up. Setting: Patients from the outpatient clinics of a university hospital and a general hospital. Subjects: A total of 82 lumbar spinal fusion patients. Interventions: Patients were randomized one-to-one to case manager–assisted rehabilitation programme as an add-on to usual physical rehabilitation or to usual physical rehabilitation. Main measures: Oswestry Disability Index and EuroQol 5-dimension. Danish preference weights were used to estimate quality-adjusted life years. Costs were estimated from micro costing and national registries. Multiple imputation was used to handle missing data. Costs and effects were presented with means (95% confidence interval (CI)). The incremental net benefit was estimated for a range of hypothetical values of willingness to pay per gain in effects. Results: No impact of case manager–assisted rehabilitation on the Oswestry Disability Index or estimate quality-adjusted life years was observed. Intervention cost was Euros 3984 (3468; 4499), which was outweighed by average reductions in inpatient resource use and sickness leave. A cost reduction of Euros 1716 (–16,651; 20,084) was found in the case manager group. Overall, the probability for the case manager–assisted rehabilitation programme being cost-effective did not exceed a probability of 56%, regardless of willingness to pay. Sensitivity analysis did not change the conclusion. Conclusion: This case manager–assisted rehabilitation programme was unlikely to be cost-effective.

Does adding case management to standard rehabilitation affect functional ability, pain, or the rate of return to work after lumbar spinal fusion? A randomized controlled trial with two-year follow-up

2020 ◽  
Vol 34 (3) ◽  
pp. 357-368 ◽  
Author(s):  
Lisa Gregersen Oestergaard ◽  
Finn Bjarke Christensen ◽  
Cody Eric Bünger ◽  
Rikke Søgaard ◽  
Randi Holm ◽  
...  
Keyword(s):  
Return To Work ◽  
Spinal Fusion ◽  
Controlled Trial ◽  
Case Manager ◽  
Physical Rehabilitation ◽  
Rehabilitation Programme ◽  
Leg Pain ◽  
Control Group ◽  
Lumbar Spinal Fusion ◽  
Lumbar Spinal

Objective: To examine the effect of a case manager–assisted rehabilitation programme as an add-on to usual physical rehabilitation in patients undergoing lumbar spinal fusion. Design: A randomized controlled trial with a two-year follow-up. Settings: Outpatient clinics of a university hospital and a general hospital. Subjects: In total, 82 patients undergoing lumbar spinal fusion. Interventions: The patients were randomized one-to-one to case manager–assisted rehabilitation (case manager group) or no case manager–assisted rehabilitation (control group). Both groups received usual physical rehabilitation. The case manager–assisted rehabilitation programme included a preoperative meeting with a case manager to determine a rehabilitation plan, postsurgical meetings, phone meetings, and voluntary workplace visits or roundtable meetings. Main measures: Primary outcome was the Oswestry Disability Index. Secondary outcomes were back pain, leg pain, and return to work. Results: Of the 41 patients in the case manager group, 49% were men, with the mean age of 46.1 (±8.7 years). In the control group, 51% were male, with the mean age of 47.4 (±8.9 years). No statistically significant between-group differences were found regarding any outcomes. An overall group effect of 4.1 points (95% confidence interval (CI): –1.8; 9.9) was found on the Oswestry Disability Index, favouring the control group. After two years, the relative risk of return to work was 1.18 (95% CI: 0.8; 1.7), favouring the case manager group. Conclusion: The case manager–assisted rehabilitation programme had no effect on the patients’ functional disability or back and leg pain compared to usual physical rehabilitation. The study lacked power to evaluate the impact on return to work.

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